| NPI | 1669846150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1801151) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1502458) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2019-01-14 |